Individual
LISA A JONAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
107 PAUL AVE N, COLOGNE, MN 55322-9330
(612) 210-8605
Mailing address
107 PAUL AVE N, COLOGNE, MN 55322-9330
(612) 210-8605
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1229
MN
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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